Organization
KYO A KIM M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA A BOLTE (BILLING MANAGER)
(302) 623-2018
Entity
Organization
Contact information
Practice address
774 CHRISTIANA ROAD, SUITE 101, NEWARK, DE 19713
(302) 623-4004
(302) 623-4083
Mailing address
774 CHRISTIANA ROAD, SUITE 101, NEWARK, DE 19713
(302) 623-4004
(302) 623-4083
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
C10000868
DE
Other
Enumeration date
02/21/2008
Last updated
04/28/2011
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